HomeMy WebLinkAboutPermit Electrical 1994-10-19
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The following project as submitted h.s the following
zoning, end does not requiro specific land use
/lIlproval.
225 FIITH STREET , 17
SPRINGFIELD, OREGON 97477 Zoni"" L-PrL-
INSPECTION REQUEST: t?a~-37tt-\~-4'1
OFFICE: 726-3759
Authorized Signature jJ l'V\.;\.
1. LOCATION ..oF INSTALLATION
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LEGAL DESCRIPTION I / 0 U 0
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JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if. work is' sus~en~ed for
180 days,
2. CONTRACTOR INSTALLA?\ON dlNLY B.
Electrical Contractor ~' C:~N~
Address 3 L/n. {)~ ~r
Ci ty ;:: ,..AI '_A 0 / Phone b?l' ~ -).$'-1- l'
supervisoroticense Number ,.;)....0-1 ~'-C-
Expiration Date I f)- / - '1' S-
Cons t r Con t r. Number t:J i 7 0 iJ
Expiration Date J'-- d. 5' ..... 95
Signature of Supervising Electrician
[) ,L...WJ t!~ ~
Owners Namekt Vt!. .TJ1~
A'ddress ::tv8 ff!mJt~ /Jib-'-
Ci ty j~IAfi:fiaj)/'j,& Phone 11h-1tm
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE:_IO-:.J9.-~~ .
RECEIn ':_'7'/&/70 , .
RECEIhu DR, / 1La:. cr) CLcPO
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number
q41J1f)
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60,00
$100,00
$130.00
$300,00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
,
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t /
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00 3S.DU
$ 2,00 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37, Del
I, X:)
1_1.1
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL